Vomiting After Adenotonsillectomy in Children

Hamid, Saman; Selby, I R; Sikich, Nancy; Lerman, Jerrold

doi:10.1097/00000539-199803000-00008

Cited by 24 publications

(3 citation statements)

References 19 publications

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“…Highest nausea prevalence was reported to be at recovery time and two hours after the operation, which generally affected 21 patients (17.5%), a lower rate in comparison to the former studies, and the highest vomiting prevalence after adenotonsillectomy was at the second postoperative hour with a lower rate in comparison to the former studies. Hamid et al (15) reported a vomiting prevalence rate in 80% for post adenotonsillectomy children who did not receive any prevention for vomiting.…”

Section: Discussionmentioning

confidence: 99%

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Is Fasting Duration Time Important in Post Adenotonsillectomy Feeding Time?

et al. 2013

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Background:Adenotonsillectomy is a common otolaryngology surgery. Nausea and vomiting are the most common complications of this procedure with a prevalence ranging from 49% to 73 %.Objectives:Our aim was to evaluate the effects of short time fasting protocol on decreasing postoperative pain, nausea and vomiting, and initiation of oral feeding after adenotonsillectomy.Patients and Methods:120 children aged 4 to 14 years candidates for adenotonsillectomy were randomly divided into intervention and control groups (n = 120, 60 in each group). Each patient of the intervention group was given oral dextrose 10% as much volume as he could consume at 3 and 6 hours prior to the operation. All the data including pain severity, nausea and vomiting of the patients, the time of oral feeding initiation etc. were gathered in checklists after the operation. Statistical analyses were then performed using Statistical Package for the Social Sciences (SPSS) software version 16. Descriptive statistical methods and mean difference test for independent groups and chi square test or Fisher exact test, and if regression needed model test were applied. A P value of 0.05 or less was considered statistically significant.Results:The amount of Acetaminophen administered for the intervention group was significantly lower than the control group, and also the time of oral feeding initiation was significantly shorter in the intervention group than the control group (P < 0.005). Pain severity at all occasions following surgery was significantly lower in the intervention group than the control group (P < 0.001). Although frequency of nausea at recovery time was significantly lower in the intervention group than the control group (P < 0.002), there were no significant differences in frequency of nausea between the two groups at other postoperative occasions. Postoperative vomiting frequency was not significant between the two groups at any occasions.Conclusions:The findings of this survey showed that shortening the duration of pre-adenotonsillectomy fasting period and hydration of patients several hours prior to the operation might be effective in decreasing postoperative pain and facilitating postoperative oral feeding initiation. Nevertheless this method does not seem to prevent postoperative nausea and vomiting.

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Section: Discussionmentioning

confidence: 99%

“…It seems that other nonpharmacologic factors play role in inducing postoperative nausea and vomiting. To reduce the risk of gastric content aspiration during general anesthesia, each child should become fasting prior to transportation to the operating room (15). …”

Section: Introductionmentioning

confidence: 99%

Is Fasting Duration Time Important in Post Adenotonsillectomy Feeding Time?

et al. 2013

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“…The pre-study sample size calculations were performed using the power and sample size programs at the web pages of University of California, San Francisco [28]. In line with previous research [29,30,31], we assumed a baseline nausea/vomiting rate of 0,85. The pre-study sample size calculation was based on a difference of interest of 25 percentage points (post-intervention nausea/vomiting).…”

Section: Methodsmentioning

confidence: 99%

Placebo by Proxy - the Influence of Parental Anxiety and Expectancy on Postoperative Morbidities in Children

Liodden

Sandvik²,

Norheim³

2015

Complement Med Res

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Background: Placebo effects emerging from expectancies of relatives, also known as placebo by proxy, is a rather unexplored field. In this study, we assume a correlation between parental anxiety/expectancy and postoperative morbidities in children. Accordingly, a reduction of parental anxiety is expected to enhance the effect of treatment. Methods: From October 2012 to June 2013, parents of 282 children completed a self-report closed-ended questionnaire embedded in a main RCT at three ambulatory care centers. Results: There were no significant associations between parental expectancy or anxiety and children experiencing vomiting and pain. Conclusion: The present study is the first to investigate placebo by proxy in acupuncture treatment for children. The findings were not able to demonstrate any placebo effect by proxy. Unknown confounders and limitations of methods may have contributed to the negative findings. Thus, the findings must be read with precaution, as the possibility of a type II error cannot be excluded. Trial Registration: ClinicalTrials.gov NCT01729052.

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Drugs for preventing postoperative nausea and vomiting

Carlisle

Stevenson²

2017

Cochrane Database of Systematic Reviews

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Either nausea or vomiting is reported to affect, at most, 80 out of 100 people after surgery. If all 100 of these people are given one of the listed drugs, about 28 would benefit and 72 would not. Nausea and vomiting are usually less common and, therefore, drugs are less useful. For 100 people, of whom 30 would vomit or feel sick after surgery if given placebo, 10 people would benefit from a drug and 90 would not. Between one to five patients out of every 100 people may experience a mild side effect, such as sedation or headache, when given an antiemetic drug. Collaborative research should focus on determining whether antiemetic drugs cause more severe, probably rare, side effects. Further comparison of the antiemetic effect of one drug versus another is not a research priority.

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Vomiting After Adenotonsillectomy in Children

Cited by 24 publications

References 19 publications

Is Fasting Duration Time Important in Post Adenotonsillectomy Feeding Time?

Is Fasting Duration Time Important in Post Adenotonsillectomy Feeding Time?

Placebo by Proxy - the Influence of Parental Anxiety and Expectancy on Postoperative Morbidities in Children

Drugs for preventing postoperative nausea and vomiting

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